Добавил:
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Бауманн У., Перре М. - Клиническая психология

.pdf
Скачиваний:
94
Добавлен:
15.09.2017
Размер:
7.38 Mб
Скачать

: I — , II — ,

. ,

, , .

) I .

II ,

II . I

25- ,

.

,

. (novelty seeking)

;

) . ,

, ,

, .

( 25 ),

, .

.

,

( ) .

« »

, , ,

.

I

, . II , ,

.

(Babor et al., 1994)

, (Meyer, 1994), ,

.

,

.

5.2.

,

,

, ,

( . Lachner & Wittchen, 1995).

,

, ,

(Chassin, Pillow, Curran, Molina & Barrera, 1993), , —

. ,

, ,

, .

: (Harford & Parker, 1994) (Tarter, McBride, Bounpane & Schneider, 1977).

,

. ,

, ,

, ( . Lachner & Wittchen, 1995).

«broken home», ,

, ,

, (Baumrind, 1991).

, , , ,

— , ,

(Silbereisen, 1996).

.

6.

.

,

,

.

, , ,

— . ,

, ,

.

, , XVI

. .

— ,

70- . « » .

, ,

.

, ,

. ,

, (Lindesmith, 1947) (Ausubel, 1961), (Bühringer, 1990)

, (Silbereisen, Robins & Rutter, 1995).

, ,

(MacCoun & Reuter, 1997).

7.

, —

.

,

, , ,

, .

,

, « »

,

.

(Ellickson & Bell, 1990; Botvin, Baker, Dusenbury, Tortu & Botvin, 1990)

,

,

.

8.

. ,

, ,

. ,

, ,

, .

. ,

.

: « » «

».

, ,

. ,

, .

9.

Ausubel, D. P. (1961). Causes and types of narcotic addiction: A psychosocial view. Psychiatric Quarterly, 35, 523-531.

Babor, Th. F. (1994). Introduction. Method and theory in the classification of alcoholics. Annals of the New York Academy of Sciences, 708, 1-6.

Babor, Th. F., Hesselbrock, V., Meyer, R. E. & Shoemaker, W. (Eds.). (1994). Types of alcoholics.

Annals of the New York Academy of Sciences, Bd. 708.

Babor, Th. F., Hofmann, M., Delboca, F., Hesselbrock, V., Meyer, R., Dlinsky, Z. S. & Rounsaville, B. (1992). Types of alcoholics: 1. Evidence for an empirically derived typology based on indicators of vulnerability and severity. Archives of General Psychiatry, 49, 599-608.

Baumrind, D. (1991). The influence of parenting style on adolescent competence and substance use.

Journal of Early Adolescence, 11, 56-95.

Begleiter, H., Porjesz, B., Bihari, B. & Kissin, B. (1984). Eventrelated brain potentials in boys at risk for alcoholism. Science, 225, 1493-1496.

Blum, K., Noble, E. P., Sheridan, P. J. Montgomerry, A., Ritchie, T., Jagadeeswaran, P., Nogami, H., Briggs, A. H. & Cohn, J. B. (1990). Allelic association of human D2-dopamine receptor gene in alcoholism.

Journal of the American Medical Association, 263, 2055-2060.

Böning, J. (1991). Zur Neurobiologie und Psychopathologie süchtigen Verhaltens. In K. Wanke, G. & Bühringer (Hrsg.), Grundstörungen der Sucht. Heidelberg: Springer.

Botvin, G. J., Baker, E., Dusenbury, L., Tortu, S. & Botvin, E. M. (1990). Preventing adolescent drug abuse through a multimodal cognitive-behavioral approach: Results of a 3'year study. Journal of Consulting and Clinical Psychology, 58, 437-446.

Bowman, K. M. & Jellinek E. M. (1941). Alcohol addiction and its treatment. Quarterly Journal for Studies on Alcohol, 2, 98-176.

Bühringer, G. (1994). Mißbrauch und Abhängigkeit von illegalen Drogen und Medikamenten. In H. Reinecker (Hrsg.), Lehrbuch der Klinischen Psychologie (S. 146-221). Göttingen: Hogrefe.

Chassin, L., Pillow, D. R., Curran, P. J., Molina, B. S. G. & Barrera, M. (1993). Relation of parental alcoholism to early adolescent substance use: a test of three mediating mechanisms. Journal of Abnormal Psychology, 102, 3-19.

Cloninger, C. R. (1987). Neurogenetic adaptive mechanisms in alcoholism. Science, 236, 410-416. Comer, R. J. (1995). Klinische Psychologie. Heidelberg: Spektrum-Verlag.

Conger, J. J. (1951). The effects of alcohol on conflict behavior in albino rat. Quarterly Journal of Studies on Alcohol, 12, 350-367.

Deneau, G., Yanagita, T. & Seevers, M. H. (1969). Self-administration of psychoactive substances by the monkey. Psychopharmacologia, 16, 30-48.

Devor, E. J. (1994). A Developmental-Genetic Model of Alcoholism: Implications for Genetic Research. Journal of Consulting and Clinical Psychology, 62, 1108-1115.

Devor, E. J., Greed, W. A., Hoffman, P. L, Tabakoff, B. & Cloninger, C. R. (1994). Platelet MAO Activity in Type I and Type II Alcoholism. Annals of the New York Academy of Sciences, 708, 119-128.

Edwards, G., Arif, A. & Hodgson, R. (1981). Nomenclature and classification of drugand alcoholrelated problems: A WHO memorandum. Bulletin of the World Health Organization, 59, 225-242.

Elbert, Th. & Rockstroh, B. (1990). Psychopharmakologie. Berlin: Springer.

Ellickson, Ph. L. & Bell. R. M. (1990). Drug Prevention in Junior High: A Multi-Site Longitudinal Test.

Science, 247, 1299-1305.

Greenspan, R., Kandel, E. R. & Jessel, Th. M. (1995). Gene und Verhalten. In E. R. Kandel, J. H. Schwartz & Th. M. Jessel (Hrsg.), Neurowissenschaften (S. 567-590). Heidelberg: Spektrum.

Harada, S. Agarwal, D. P., Goedde, H., Togzki, S. & Ishikawa, B. (1982). Possible protective role against alcoholism for aldehyde dehydrogenase isozyme deficiency in Japan. Lancet, 2, 827.

Harford, T. C. & Parker, D. A. (1994). Antisocial behavior, family history, and alcohol dependence symptoms. Alcoholism: Clinical and Experimental Research, 18, 265-268.

Hüllinghorst, R. (1994). Zur Versorgung der Suchtkranken in Deutschland. In Deutsche Hauptstelle gegen die Suchtgefahren (Hrsg.). Jahrbuch Sucht 95 (S. 153-162). Gcsthacht: Neuland.

Jaffe, J. H. (1985). Drug addiction and drug abuse. In A. J. Goodman & L. S. Gilman (Eds.), The pharmacological basis of therapeutics (pp. 88-105). New York: Macmillan.

Junge, B. (1994). Tabak. In Deutsche Hauptstelle gegen die Suchtgefahren (Hrsg.) Jahrbuch Sucht 95 (S. 9-30). Gcsthacht: Neuland.

Knorring, A.-L. von, Bohman, M., Knorring, L. von & Oreland, L. (1985). Platelet MAO activity as a biological marker in subgroups of alcoholism. Acta Psychiatrica Scandinavica, 72, 51-58.

Koob, G. F. & Bloom, F. (1988). Cellular and molecular mechanisms of drug dependence. Science, 242, 715-722.

Koob, G. F. & Le Moal, M. (1997). Drug Abuse: Hedonic Homeostatic Dysregulation, Science, 278, 52-

58.

Lachner, G. & Wittchen, H.-U. (1995). Familiär übertragene Vulnurabilitätsmerkmale für Alkoholmißbrauch und abhängigkeit. Zeitschrift für Klinische Psychologie, 24, 118-126.

Lindesmith, A. R., (1947). Opiate addiction. Bloomington, Indiana: Principia Press.

Maier, W. (1995). Mechanismen der familiären Übertragung von Alkoholabhängigkeit und Alkoholabusus. Zeitschnft für Klinische Psychologie, 24, 147-158.

Marlatt, G. A. & Gordon, J. R. (Eds.). (1985). Relapse prevention. Maintainance strategies in the treatment of addictive behaviors. New York: Guilford.

Mac Coun, R. & Reuter, P. (1997). Interpreting Dutch Cannabis Policy: Reasoning bei Analogy in the Legalization Debate. Science, 278, 47-52.

McLellan, A. Th., Alterman, A. T., Metzger, D. S., Grissom, G. R., Woody, G. E., Luborsky, L & O'Brian, Ch. P. (1994). Similarity of Outcome Predictors Across Opiate, Cocain, and Alcohol Treatments: Role of Treatment Services. Journal of Consulting and Clinical Psychology, 62, 1141-1158.

Meyer, R. E. (1994). Toward a Comprehensive Theory of Alcoholism. Annals of the New York Academy of Sciences, 708, 238-250.

Morey, L. C. & Skinner, H. A. (1986). Empirically derived classification of alcohol-related problems. In M. Galanter (Ed.), Recent Developments in Alcoholism (pp. 45-168). New York: Plenum.

O'Brien, C. P., Childress, A. R., McLellan, A. T. & Ehrman, R. (1992). A learning model of addiction. In C. P. O'Brien & J. H. Jaffe (Eds.), Addictive states (pp. 400-415). New York: Raven.

Olds, J. (Ed.). (1977). Drives and Reinforcements. Behavioral Studies of the Hypothalamic Functions.

New York: Raven.

Otto, M., Rommelspacher, H. & Schmidt, L. G. (1991). Neurobiologische Befunde bei Opioidabhänigen. In K. Wanke & G. Bühringer (Hrsg.), Grundstörungen der Sucht. Heidelberg: Springer.

Polich, J., Pollock, V. E. & Bloom, F. E. (1994). Metaanalysis of P300 amplitude from males at risk for alcoholism. Psychological Bulletin, 115, 55-73.

Propping, P., Nöthen, M. H., Körner, J., Rietschel, M. & Maier, W. (1994). Assoziationsuntersuchungen bei psychiatrischen Erkrankungen. Konzepte und Befunde. Nervenarzt, 65, 725-740.

Risch, N. (1992). Gcnetic Linkage: Interpreting Lod Scores, Science, 255, 803-804. Rosenhan, D. L. & Seligman, M. E. P.(1995). Abnormal Psychology. New York: Norton.

Sayette, M. A. & Wilson, G. T. (1991). Intoxication and exposure to stress: Effects of temporal patterning. Journal of Abnormal Psychology, 100, 56-62.

Sher, K. J. & Levenson, R. W. (1982). Risk for alcoholism and individual differences in the stress- response-dampening effects of alcohol. Journal of Abnormal Psychology, 91, 350-367.

Silbereisen, R. K. (1996). Entwicklungspsychologische Aspekte von Alkoholund Drogengebrauch. In R. Oerter & L. Montada (Hrsg.), Entwicklungspsychologie (S. 171-184). Weinheim: Psychologische Verlags Union.

Silbereisen, R. K., Robins, L. & Rutter, M. (1995). Secular Trends in Substance Use: Concepts and Data on the Impact of Social Change on Alkohol and Drug Abuse. In M. Rutter & D. J. Smith (Eds.), Psychosocial

Disorders in Young People (pp. 490-543). Chichester: Wiley.

Snyder, S. H. (1986). Drugs and the brain. New York: Scientific American Library.

Solomon, R. L. & Corbit, J. D. (1974). An Opponent process theory of motivation. Psychological Reviews, 81, 119-145.

Steinhauer, S. R. & Hill, S. Y. (1993). Auditory event-related potentials in children at high risk for alcoholism. Journal of Studies on Alcohol, 54, 408-421.

Sullivan, J. L., Stanfield, C. S. & Dackis, C. (1977). Platelet monoamine oxidase in schizophrenia and other psychiatric illnesses. American Journal of Psychiatry, 134, 1098-1103.

Tarter, R. E., McBride, H., Bounpane, N. & Schneider, D. U. (1977). Differentiation of alcoholics. Childhood history of minimal brain disfunction, familiy history, and drinking pattern. Archives of General Psychiatry, 34, 761-768.

Tu, G.-Ch. & Israel, Y. (1995). Alcohol consumption of Orientais in North America is predicted largely by a single gene. Behavior Genetics, 25, 59-65.

Uhl, G., Blum, K., Noble, E. & Smith, S. (1993). Substance abuse vulnerability and D2-receptor genes.

Trends in Neuroscience, 16, 83-88.

Wikler, A. (1965). Conditioning factors in opiate addiction and relapse. In D. M. Wilner & G. G. Kassebaum (Eds.), Narcotics (pp. 85-100). New York: McGraw Hill.

Zucker, R. A. (1987). The four alcoholisms: A developmental account of the etiologic process. In P. C. Rivers (Ed.), Alcohol and Addictive Behavior (pp. 27-83). Lincoln: University of Nebraska Press.

34.3. , :

1.

, , ,

. , « » , ,

, 35 , ,

, . ,

20-25 , ,

, .

, ,

, ,

. ,

,

.

2.

2.1.

DSM-IV , 1994) -10 ( . ICD10: Dilling, Mombour & Schmidt, 1991)

, ,

, « »

»,

. « »

(« » « »), « »

» — . ,

(Edwards, Arif & Hadgson, 1981)

,

.

,

):

1) :

, ); ;

( , ,

, , ,

, , , ).

2): (

, , ,

); ( );

( ,

, , );

( , ,

», );

, );

( ,

, ,

); (

, ).

3),

,

): ,

;

; .

,

. , ,

. , , ,

( )

( , ).

, , .

2.2.

.

: 1) , 2)

3)

. ,

,

.

, . ,

, ,

. , -

,

.

( ,

)

,

.

. , ,

, ,

, . , ,

« » « » .

.

,

, .

(Prochaska & DiClemente, 1986)

. 34.3.1). , , ,

. ,

— .

;

, , ( . . 34.3.1;

. Petry, 1993a).

. 34.3.1. (Prochaska & DiClemente,

1986)

34.3.1.

(Prochaska & DiClemente, 1992)

 

 

 

 

 

 

 

1.

 

 

 

-

 

 

(«precontemplation»):

 

;

 

 

 

 

- ;

 

- ,

-

,

)

 

 

 

 

( )

2. («contemplation»):

- ;

 

 

 

- ;

 

 

-

-

« »

« »

 

;

;

 

 

 

 

-

 

- ;

 

 

 

- ;

 

 

 

 

 

-

 

3. («action»):

 

- ,

 

-

 

 

 

 

 

 

 

( ,

,

 

 

 

 

 

, );

 

 

 

 

-

 

(

;

 

 

 

 

)

 

 

 

4.

 

 

 

-

(«maintenance»):

 

 

,

-

 

);

 

 

 

 

-

5. («relapse»):

 

 

-

-

 

 

 

 

 

2.3.

.

40 80% (

). ,

10 20 .

.

, ,

.

, ,

. ,

(Marlatt & Gordon, 1985). ,

, .

( . . 34.3.2) , ,

, ,

. ,

, , , .

. 34.3.2. ( Marlatt & Gordon, 1985)

,

, : ,

, ,

.

,

(

)

( . , , Childress, McLellan, Ehrman & O'Brien, 1988; Heather & Stallard, 1989; Powell, Bradley & Gray, 1992).

( . Korkel, 1988, 1991).

2.4.

,

, 1970 — .

, , ,

, « »

. ,

( , ).

, ,

, . « »

, . 34.3.2,

, ,

, .

34.3.2. ,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

,

 

,

 

 

 

 

 

,

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

)

 

,

 

 

 

,

 

 

»,

 

 

 

 

 

 

 

 

 

),

 

 

-

 

 

 

,

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

,

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

,

 

 

 

 

 

 

,

,

 

 

 

,

 

,

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

,

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2-10

1-3 (

1,5-6

 

3-12

 

 

; —

 

)

 

3-9

 

 

 

 

 

 

 

( )

 

 

 

 

(« »)

)

 

 

 

 

 

 

 

 

 

 

 

 

:

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

,

 

 

 

,

 

 

 

;

 

 

 

 

,

 

 

 

 

 

 

-

 

 

 

:

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

, (Gsellhofer & Buhringer, 1995),

, (Bühringer & Simon, 1992, Bühringer, 1996a). :

-. ,

, ,

, ,

.

-.

, ,

, , .

-.

, .

,

( . Bühringer, Künzel & Spies, 1995, Sucht, 1995).

2.5.

, ,

.

.

, ( . . 34.3.3;

Platt, 1995a, b).

34.3.3.

:

-( , , ,

);

-;

-(

);

-;

-, ( , );

-, ( , —

Acamprosat).

:

-;

-;

-;

-.

Соседние файлы в предмете Судебная психиатрия